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23 lip 2019 · Speech and language therapy has been incorporated into the Treatment of unexplained chronic cough: CHEST guideline and expert panel report (Gibson 2016a), which details treatment of UCC, and the Australian cough guidelines summary statement (Gibson 2010).
Physical examination should concentrate on the afferent sites identified as most commonly associated with chronic cough. An ear, nose and throat (ENT) examination may reveal evidence of nasal obstruction due to inflamed turbinates or the presence of polyps. The appearance of secretions draining in the posterior pharynx may be apparent.
Cough is productive (wet) if the amount of the daily expectoration is ≥30 mL (two tablespoons’ worth). The phlegm can be mucous, serous, purulent or bloody. Bronchial casts can also be produced.
These guidelines incorporate the recent advances in chronic cough pathophysiology, diagnosis and treatment. The concept of cough hypersensitivity has allowed an umbrella term that explains the exquisite sensitivity of patients to external stimuli such a cold air, perfumes, smoke and bleach.
Anti-reflux surgery (open or laparoscopic fundoplication) is the treatment of choice for those patients with proven GOR disease whose cough persists after >3 months of appropriate medical treatment, including high dosage of proton pump inhibitors.
15 lis 2022 · In practice, many elderly patients take long-term PPI therapy for LPR, GERD, or other gastrointestinal conditions. According to a large population-based cross-sectional study, the percentages of 18–39, 40–59, and ≥60-year-old people taking PPIs in the UK were 23.1%, 35.1%, and 39.8%, respectively. 55 The overprescription of long-term PPIs ...
Chronic cough and throat clearing: guide for patients. Throat problems produce a number of symptoms such as cough, throat clearing, irritation in the throat and mucus. This leaflet helps to explain the normal function of the throat and how some of these symptoms may be produced and treated.
